Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
n CITY OF TIGARD MASTER PERMIT 11111 -II, COMMUNITY DEVELOPMENT Permit#: MST2015-00113 T 1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 13537 SW ASH AVE Subdivision: FREWING'S ORCHARD TRACTS Lot: Project: Ashwood Estates, Lot 5 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24.5 Bathrooms: 3 Second: 1347 sf Garage: 449 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2545 sf Value: $311,025.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2545 Owner: Contractor: LF 4 LLC JTSC LLC Required Items and Reports(Conditions) 9700 SW FREWING ST 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $22,875.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTI N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica on Center. Those rules are set forth in OAR 952-001-0 throug AR 9 1-0090. You may obtain a copy of the rules or direct questions to OUNC by cal' • 5',3.232.1987 or 1.800.332.2344. i Issued �c� Permittee Signat a �f.�� i c-4--- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio _,, I,,; , Residential ECk l t r FOR OFFICE USE ONLY iii .. City of Tigard Received , r/01---(90 i f j 3 Date/By:e ive l.c 3 / 7 7 Permit No.. • 13125 SW Hall Blvd.,Tigard,OK91221 0 2015 Plan Review a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: g• (f (dr-5— Other Permit:, 1,00€ )5 f7 I I<i n 1;D Inspection Line: 503.639.4175 - Date Ready/By: luris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: 7 4 Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation:'3 f25 1? $ r1� ® 1-and 2-family dwelling ❑Commercial/industrial 11 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 1315, sw ASµ AV E New dwelling area:154 5 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 4 Li q square feet Suite/bldgiapt.no.: Project name:Ashwood e$-j Covered porch area: •Z.26 94i1. • feet p247 Cross street/directions to job site: Deck area: square feet 1(cj Other structure area: 94 square feet z4,<5 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: 5 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LF 4,LLC Type of construction: Address:5285 Meadows Rd Stel 171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:JTSC,LLC Structural plan review fee(or deposit): Contact name:JohnWyland FLS plan review fee(if applicable): Address:5285 Meadows Rd Ste.171 City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Phone:(503)209-7555 Fax::( ) Amount received: #7522).45G F-mail:jwyland @jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top ms ted PhotoVoltaic Solar Panel Syst- Business name:JTSC,LLC Submit two( ets of roof plan with co -- on details and fire departm- access,along %. I e 2010 Oregon Address:5285 Meadows Rd.Ste 171 Solar Installation S.•• I . e checklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee i i• .•es . • review $1 50.00 . administrative - • Phone:(503)657-3402 Fax:( ) Stat surcharge(12%of permit fee): $21.60 CCB lic.:200237 Total fee due upon application: $ i 60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:John Wyland Date: *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPe tApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , REC:FINII '.. 4 4 f , Electrical Permit Application uoiz 01-ER L c-!,,I,oNi.1 .,.... ,„ City of Tigard . ' '‘J 3 0 2015 =1"-hresi 7/5. Alli__,Vi Permit i46.: 11 r20/5--e).0 3 ' ,.. 13125 SW Hall Blvd.,Tigard,OR 97223 ik Plan Review Other Permit:. 10,12_9„0/5--Ca7 73 Phone: 503.718.2439 Fax: 501.$9ii,iptt Date/B : 7-1:i'ic.:R 0 Inspection Line: 503.639.417SL-4 " ‘--.1 iibilKti, Date Ready/By: tons: E5 See Page 2 for Internet: www.tigard-or.go?,Ufir 11)!Ntr !)111,719-(vs Notified/Method: Supplemental Information .*)*-20.-41:rt,:f-::,. .1.:::.:;]r..:'.‘::::'...':.'f' ..77:r‘!‘Mr-r,1;. ntlitg,'?65,3';,TliPiticATlif..7giiialiiiiiiiratg-," IS)New construction 0 Addition/alteration/replacement Please check all that apply(submit.2.sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition D Other: where the available fault current 0 Marinas and boatyards. .0A,U.-GoliV:(0',atit,NittrOcTIOtt4:. . ' .• '.' '. , '.-,.;. exceeds 10,000 amps at 150 volts or 0 Floating buildings. '-''.--- --- - - '..-- - - .' ' less to ground,or exceeds 14,000 0 Commercial-use agricultural El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings. I=1 Multi-family 0 Master builder 0 Other: 0 Fire putnp. 0 Installation of 150 KVA or . - . .. 0 Emergency system. larger separately derived system. 1;-. .1..-l' :'404##;::*!:'O.Wffejf-*i*i.kVO.-AjOk'.::''-':-: ..;. ' '' ...: 0 Addition of new motor load or 0"A""E'',"1-2" "I-3". 100HP or more. occupancy. Job no.: Job site address: i g 5S/ SVX AS 14 AU C 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 0 Health-care facilities. 0 Supply voltage for more than D Hazardous locations. 600 volts nominal. Suite/bldg/apt,no.: Project name• As t-m<y)0 -t. --.f AT es D Service or feeder 600.amps or intn.,. ,.,_ .. . . , :Z14,tt.OPMWg:': OttlakiiitttMgc:Mear,,M.:.. Cross street/directions to job site: Description I I:i..r_l Fee. I Total I " New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:5 1 168.54 4 ,000 sq.ft.or less 1 Ea.add'I 500 sq.ft.or porticiVt3 4_ 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 .'.",:.•`.;.;,Y,,..r.,':•:..) .‘-,:":',,....:'''.•,.:,•.T•... . .,'':,::.1••".•,,.;,....',.,.;.:::' 0.$0.,#04,10,0:0-0`g*OWg':::,),,,:;;:.:: ......1..;:..?,';,*.:,".,:::•.,:,:,,•;. .:,:.-.!:-.:ii, (with above sq.ft.) Limited energy,multi-family 75.00 2 Electrical for new single family residence residential(with above sq.ft.) Renewable Energy -0 See Page 2 Services or feeders installation,alteration,and/or relocation • : . -,-.,:1-1,J. i,,i,;: ii,.,.:,.,. ,.. 200 amps or less 100.70 2 201 amps 10 400 amps 133.56 2 Name: ' LF 4 , LLC 401 amps to 600 amps 200.34 2 Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)657-3402 Fax:( ) relocation 200 amps or less 59.36 i Owner installation:This installation is being made on property that I own which is not 201 amps 10 400 amps 125.08 2 intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel . VOWptit00t:.'07' -r cokiwtfitogso-. : : A Feeforbranhcircuitswith _ above service or feeder fee 7 42 2 Business name:JTSC,LLC each branch circuit . B.Fee for branch circuits without Contact nan-, 1-1)t,\ W V LA N U service or feeder fee,first 56.I 8 2 branch cinittit Address:5285 Meadows Road Suite 171 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Lake Oswego,OR 97035 Each manufactured or modular 67.84 2 Phone:(503)aock -7 5 n 5 Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 . ,,,,,)y iatnolj +srolk- h ( 0 . corn Pump or irrigation circle 67.84 2 ONT.#4:0,,t0*'-','!'.-.-.',4.t-i':. ,..',•••`, '''''''''','•.••'1,...:-;•-'1-•''-.'-l- -:;" Sign or outline lighting 67.84 2 Business name: 46)(rit.,if-CliAtri-C—, Signal circuit(s)or limited-energy See panel,alteration,or extension. _ Page 2 2 Address: c -C1 A 0 gl.:- 13 n7OkIWOOGi.14-1/6 1 B4--...to- Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr City/State/ZIP: 1,h-115) 90y-0 Oi() .O7 )3 Investigation(I hr min) 66.25/hr Phone:(g03)&ys q., ...2__. Fax: _.,.. 6 1./...).-7w6-- _JAM Industrial plant(I hr min) 78.18/hr ' Inspections for which no fee is CC.1.3 Lie.: /,2//56/ Electrical Lie,: :Aiffra . pr . .::: &Pi 0?E.) ,speeitically listed(1/2 lir min) 90.00/lir F Arz,ffii,• ' ti",,- r'..:'•:',.,.:',,',N:,■1'%I.';': 05.0-01100430:0,i1-$14:t*gV3",',';'::' Suprv. Electrician signature,required: 11/7/1511111W Subtotal: i Plan review(25%of permit fee): Print name: "v, Date: _ :i * . - State surcharge(12%of permit fee): Authorized signature: • • TOTAL PERMIT FEE: ' -4( ',(-'' '' This perntit application expires if a permit is not obtained within 180 Print name: C,P11,1_,(...4 601 Date: * days after it has been accepted as complete. ' Number of inspections allowed per permit I`.Ritiltling,Pet mit,ELC rennitAppELR.ERE doe Rev 05/21,2013 • 440-4615TI I 1/USICONTAVE Fi V L'41VL' Jr Mechanical Permit Application FOR OFFICE USEONLI Cl of Tigard 'V 3 0 2015 Received City g an Date/By: EX ?j//6 I-.y j/J Permit No.:�L)T /5.. / 3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / I Phone: 503.718.2439 Fax: 503.59814d Date/By: Other Permit:4 e. 9015 7?� T I GAR D Inspection Line: 503.639.4175 Date Ready/By: luris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1 b 33') Sk4 ASH AVF Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: -r Ct A ) OR q 11. Furnace 100,000+BTU(ducts/vents) 54.91 �I{ Heat pump 61.06 Suite/bldg./apt.no.: Project name:Ashwood Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.:5 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas Mechanical for new single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment I 33.39 Address:5285 Meadows Rd Ste 171 Clothes dryer exhaust 1 33.39 — City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:JTSC,LLC $14.15 for first four;$4.03 for each additional Contact name:JohnWyland Furnace,etc. Address:5285 Meadows Rd Ste.171 Gas heat pump N Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater Phone:(503)209-7555 Fax::( ) Fireplace Range E-mail:jwyland @jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air,LLC Other: MECHANICAL PERMIT FEES* Address:7301 SW Kable Ln Ste 500 Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)572-3594 Fax:( ) State surcharge(12%of permit fee) CCB lie.:203869 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:John Wyland Date: �I/{J/ K I:\Buildineermits\MEC_PermitApp_04011 doc 440-4617T(I1/02/COM/WEB) Plumbing Permit Application 2515 Building Fixtures rii t10EIVE1) FOR OFFICE USE ONLY City of Tigard Received r,, / IN City g Date/By I.t 'y/ y`�yl Permit No.:/1d7T S` 'o /1 3 • 13125 SW Hall Blvd.,Tigard,OR 97223 rt A ` ■ Phone: 503.718.2439 Fax: 503.598:1960 Plan Review Other Permit No.: 0_aU/S-LY.la7?j Inspection Line: 503.639.4175 I I(,1 R I) Date Ready/By: Iuris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF W O R K-. . '- 'a FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total 1:1 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 El Accessory building El Multi-family SFR(3)bath C 500.32 Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 35 3/ Su A9 3-1 Catch basin or area drain I 18.76 Job site address: �V E . Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:ASHWOOD Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ZS ) ( Page 2 Storm sewer(no.linear ft.: ZS) ( Page 2 Water service(no.linear ft.: t.() / Page 2 Subdivision: I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Plumbing for new single famiy residence Clothes washer 25.02 Dishwasher ( 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LF 4,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal I 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib L 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$ ) Page 2 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd.Ste 171 Sink/basin/lavatory 5 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 3 12.51 E-mail:jwyland @jtsmithco.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater ( 37.52 Business name:The Mullen Co.dba Edward Mullen Plumbing Water piping/DWV 56.29 Address: 1601 SE River Rd Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lic.no.: 311---0240/V State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:John W y land Date: q T' 1 16I r� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. r\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) • • City of Tigard liIIII COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c n tz�� Building Permit Review — Residential Building Permit #: H'f of O 15-Od 1 13 O1 0 29.0 I 5--6007 3 Site Address: /- F:_39- SiA.) "A1j /lye._ Project Name: /9vikroce k ç Lot #: 5— (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,,4v ,- //� 72esi 0 i' iVerify site address/suite#exists and active in permit syste . rfliver Terrace Plan District: ❑ Yes g No Sit: Ian Elements: to P ree(3)copies of site plan .M sting structures on site MS. e plan must be on 8-1/2"x 11"or 11 x 17"paper !•Footprint of new structure(including decks)with finished LE • awn to scale(standard architect or engineer scale) or elevations IL .rth arrow Utility locations(required for new,may apply for additions) IP a address,project or subdivision name and lot number .cation of wells/septic systems I .plicant information(name and phone number) r.Erosion control(including drainage-way protection,silt fence .t dimensions and building setback dimensions sign,location of catch basin,etc.) 7 ot area,building coverage area,percentage of coverage and fleet names pervious area(applicable if R-7,R-12,R-25&R-40) Seet tree size,type and location Property corner elevations(2 foot contour lines if more than UExisting trees to be retained with drip line,and tree 4 foot differential) protection measures lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): jkequired: 1=1 Yes,applicant was notified 1No Received: ❑ Yes ❑ No LJ Public Facil,�s Improvement(PFI) Permit: ri:equired: NJ Yes,applicant was notified ❑ No Applied For: es ❑ No,stop intake nd Use Case#: S' ,61,Q C.Iy 0000 y dii;oning: - Li- V Setbacks: Front ,C20 Rear /s Side C Street Side /c Garage t<1 ,andscape Requirement: Al. FA' ot Coverage Maximum: % 1/ Ih uilding Height: Maximum Height o Actual Height c:914 C'J II Visual Clearance easements ND/ No�P j.ensitive Lands: ❑ Yes 11X No Type l► Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil.. g permit Al Notes: .ilk , I t_ i i■ ' ■ !. AL°, A "tl i Approved By Planning: �� �U_.� Date: I ©/S"" Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Buil ding\Forms\BldgPermitRvw_RES_031015.docx Building Permit Submittal Original Submittal Date: lQ /15.°//s Site Plans: # Building Plans: # 3 Building Permit#: F2 Enter building permit#above. Workflow Routing: - Planning la-Engineering a ermit Coordinator ,2--Building Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. CKBuilding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: l By Permit Technician: (1 _ Date: 4,A /cc- Engineering Review Slope at building pad: 77n [ZJ/Cnditions "Met"prior to issuance of building permit l�Easements (encroachments)per engineering conditions of approval and plat IT-'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes re"--No Assess Water Quantity Fee in-lieu: ❑ Yes gr-No LIDA Facility on lot: ❑ Yes X10 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4/ D Date: 7 —��- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: caw r-x-i--o Date: 9'/ t Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit I Approved by Permit Coordinator: Date: 1:\Bui1 ding\Forms\BldgPermitRvw_RES_031015.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter al ette r 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov r TO: c t `/ 0 c T( 9 qr c\ DATE RECEIVE D..:1 RECLAV DEP T: BUILDING DIVISION !'.1 FRONi1 �/ai∎t L _G_V3A U JUL 2 2 2015 COMPANY: 7 T S lq 4T 4-A CO M PP N ( CS Cl iY OF 71GAKU a BUILDING DIV SION PHONE: .J�1- G�•�� ^ 340 By: RE: 1353 1 Sw ASN AVE T( (E A D i Q R MS t x.01 +l3 -00113 (Site Address) (Permit Number) A5 MwOOD eSTATES LOT 5 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: Description: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. ✓ Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFF CE USE ONLY Routed to Permit Technici. .• Date: ASEMINIMMINEEMMEMEME Fees Due: • Yes MP- o Fee Descri ption: Amount Due: Special Instructions: Re s rint Permit •-r PE : ❑ Yes • No • Done A. •licant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012